国际麻醉学与复苏杂志   2011, Issue (5): 528-531
    
谷氨酰胺对2型糖尿病大鼠血糖和胰岛素抵抗的影响
吴亚谋, 刘月江, 胡柳, 夏江燕, 景亮1()
1.江苏南京东南大学临床医学院 江苏东南大学附属中大医院麻醉科
Effect of glutamine on blood glucose and insulin resistance in type 2 diabetes rats
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摘要:

摘要 目的 观察L-谷氨酰胺对2型糖尿病大鼠血糖变化和胰岛素抵抗的影响并探讨可能机制。方法 SD雄性大鼠47只,随机分为:空白对照组(C组,n=10)、谷氨酰胺组(Gln组,n=10)、2型糖尿病组(DM组,n=12)、2型糖尿病+谷氨酰胺组(DM+Gln组,n=15)。实验动物分组饲养,2型糖尿病大鼠模型制作成功并稳定后予以谷氨酰胺(1g.kg-1.d-1)继续灌胃3周,分别检测各组大鼠第1、6、9周末空腹血糖值(FBG)和空腹血胰岛素值(FNS)并计算胰岛素抵抗值(HOMA-IR)。于第9周末取大鼠腓肠肌检测肌细胞葡萄糖转移蛋白4(GLUT4)向细胞膜转位量和细胞内葡萄糖转移蛋白4信使RNA(GLUT4mRNA)表达量。 结果在第6周末,DM组和DM+Gln组大鼠FBG分别升高为(16.3±3.7)mmol/L和(15.9±4.8)mmol/L,分别与C组(5.9±1.4)mmol/L和Gln组(5.9±0.9)mmol/L相比显著升高(P<0.05)。同时间点DM组和DM+Gln组HOMA-IR均分别升高为(4.1±0.5)和(4.0±0.6),分别与C组(3.4±0.3)和Gln组(3.3±0.4)相比显著升高(P<0.05);在第9周末,DM+Gln组FBG(15±9)mmol/L明显低于DM组(24±12)mmol/L(P<0.05),DM+Gln组HOMA-IR(3.0±0.6)明显低于DM组(3.7±0.4)(P<0.05),同时间点C组(3.3±0.4)和Gln组(3.2±0.5)也明显低于DM组(P<0.05);四组之间GLUT4蛋白膜转位量和GLUT4mRNA没有统计学差异(P>0.05); 结论 对2型糖尿病大鼠连续投入谷氨酰胺三周可以增强胰岛素敏感性,维持血糖相对稳定,但其机制与葡萄糖转运体基因表达和蛋白转运无关。

关键词: 关键词:L-谷氨酰胺; 2型糖尿病;空腹血糖; 胰岛素抵抗;葡萄糖转移蛋白4; 葡萄糖转移蛋白4信使RNA
Abstract:

【Abstract】Objective To observe the effect of glutamine on blood glucose and insulin resistance in type 2 diabetes rats and to explore the possible mechanism. Methods Forty-seven healthy SD male rats were randomly divided into Control group(n=10), Glutamine group(n=10), Type 2 Diabetes group(n=13) and Glutamine and Type 2 Diabetes group(n=15). After set up of the Type 2 Diabetes rat models successfully, Glutamine was continued orally (1g.kg-1.d-1) for three weeks. FBG and FNS were measured at the end of Week 1st, 6th and 9th, respectively. Then HOMA-IR was calculated based on FBG and FNS. At the end of week 9th, mRNA and protein expression of GLUT4 were measured by RT-PCR and WB, respectively. Results At the end of the sixth week, FBG was significantly increased to (16.7±3.5)mmol/L and (15.9±4.8)mmol/L in DM and DM+Gln groups, and there is no difference between these two groups. However, compared with C group (5.9±1.4)mmol/L and Gln group (5.9±0.9)mmol/L, FBG was highly raised in DM and DM+Gln groups (p<0.05). Meanwhile, FNS was significantly increased to( 4.1±0.5)and (4.0±0.6) in DM and DM+Gln groups, compared with C group (3.4±0.3) and Gln group (3.3±0.4), FBG was highly raised in DM and DM+Gln groups(p<0.05). At the end of ninth week, FBG in DM group (24.5±11.8)mmol/L was significantly higher than that in DM+Gln (15.2±9.6)mmol/L, HOMA-IR in DM group (3.7±0.4)was significantly higher than that in DM+Gln group (3.0±0.6)(P<0.05), Meanwhile, HOMA-IR in C group(3.3±0.4)and Gln group(3.2±0.5)were significantly lower than that in DM group (P<0.05). There were no significant different in mRNA and protein of GLUT4 among four groups (P>0.05). Conclusion Continually oral of glutamine can stabilize the blood glucose and enhance insulin sensitivity of type 2 diabetes rats, which is able to help control blood glucose levels. But this activity is not associated with mRNA and protein translocation of GLUT4.

Key words: 【Keywords】: L-glutamine; type 2 diabetes; FBG ;Insulin resistance; GLUT4; GLUT4mRNA